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1548398100
ROBERT LAYNE BONVILLAIN
SHREVEPORT, LA
NPI
1548398100
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 5046)
Enumeration Date
2007-03-02
Last Update Date
2007-07-08
Business Address
-- ROBERT LAYNE BONVILLAIN LCSW, LAC
1545 LINE AVE STE 170
SHREVEPORT, LA 71101-4629
Phone number: 318-425-3333
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Mailing Address
-- ROBERT LAYNE BONVILLAIN LCSW, LAC
1545 LINE AVE STE 170
SHREVEPORT, LA 71101-4629
Phone number: 318-422-3032
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